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MEDL 201 Chapter 7 Complement System

Total questions: 59

Worksheet time: 31mins

Name
Class
Date
1.

The pathways of the complement system are:

a)

Classical, alternative, and lectin pathways

b)

Intrinsic, extrinsic, and common pathways

c)

Direct, indirect, and adaptive pathways

d)

Primary, secondary, and tertiary pathways

2.

System controls in the context of the complement system are:

a)

mechanisms that regulate the activation and function of the complement system

b)

proteins that directly destroy pathogens without regulation

c)

enzymes that only activate the complement cascade

d)

cells that produce antibodies against complement proteins

3.

Complement receptors are proteins that play which of the following biological roles?

a)

They bind complement proteins and mediate immune responses such as phagocytosis and inflammation.

b)

They synthesize antibodies to fight infections.

c)

They transport oxygen in the blood.

d)

They break down pathogens directly without immune cell involvement.

4.

The biological manifestations of complement activation include:

a)

Opsonization, chemotaxis, cell lysis, and inflammation

b)

DNA replication and repair

c)

Hormone secretion and regulation

d)

Neurotransmitter release and synaptic transmission

5.

Complement therapeutics are:

a)

drugs that target the complement system to treat diseases

b)

vitamins that enhance immune function

c)

antibiotics used to kill bacteria

d)

supplements for improving digestion

6.

Complement abnormalities are detected in the laboratory by which of the following methods?

a)

Measurement of complement levels and functional assays

b)

Urine analysis

c)

Electrocardiogram (ECG)

d)

Liver function tests

7.

Complement is a series of more than ___ soluble and cell-bound proteins that interact to enhance host defense mechanisms against foreign cells.

a)

50

b)

10

c)

20

d)

5

8.

Where are most plasma complement proteins synthesized?

a)

In the liver

b)

In the spleen

c)

In the bone marrow

d)

In the pancreas

9.

Which of the following is NOT an exception to the synthesis of plasma complement proteins in the liver?

a)

C1 components (produced by intestinal epithelial cells)

b)

Factor D (made in adipose tissue)

c)

Albumin (produced by the liver)

d)

None of the above

10.

True or False: All plasma complement proteins are synthesized in the liver.

a)

True

b)

False

11.

White blood cells are additional sources of early complement components. Which of the following are early complement components?

a)

C1, C2, C3, C4

b)

C5, C6, C7, C8

c)

Albumin, Globulin, Fibrinogen

d)

Hemoglobin, Myoglobin, Ferritin

12.

Most of these proteins are ______ that are converted to active enzymes in a very precise order.

a)

zymogens

b)

hormones

c)

antibodies

d)

lipids

13.

The main goal of the complement cascade is to cause ______ of foreign cells.

a)

lysis

b)

fusion

c)

division

d)

mutation

14.

Complement components act as ______, which help enhance the clearance of immune complexes.

a)

opsonins

b)

antibodies

c)

hormones

d)

enzymes

15.

Which of the following is a function of complement components?

a)

Decrease vascular permeability

b)

Increase vascular permeability

c)

Inhibit immune response

d)

None of the above

16.

Complement components recruit ______ and neutrophils to the area of antigen concentration.

a)

monocytes

b)

erythrocytes

c)

platelets

d)

basophils

17.

Complement components trigger secretion of immunoregulatory molecules that amplify the immune response.

a)

True

b)

False

18.

Fill in the blank: Specific receptors for complement components are present on ______ cells.

a)

phagocytic

b)

neuronal

c)

muscle

d)

epithelial

19.

Which of the following is NOT one of the three pathways of complement system activation?

a)

Classical pathway

b)

Lectin pathway

c)

Glycolytic pathway

d)

Alternative pathway

20.

More than one pathway of the complement system can be activated __________.

a)

simultaneously

b)

separately

c)

rarely

d)

independently

21.

What is the end product of complement system activation?

a)

Lysis of the invading cell

b)

Production of antibodies

c)

Activation of T cells

d)

Phagocytosis of red blood cells

22.

Which components are involved in the classical pathway?

a)

C1–C4

b)

C3–C5

c)

C5–C7

d)

C7–C9

23.

What happens during the recognition stage of the classical pathway?

a)

C’ binds to antigen-antibody complexes or other substances to initiate the pathway.

b)

Antibodies are produced by plasma cells for the first time.

c)

The membrane attack complex is formed and lyses the cell.

d)

Phagocytes engulf and destroy pathogens directly.

24.

Which of the following is the correct order of stages in the classical pathway?

a)

A) Activation → Recognition → Membrane attack complex

b)

B) Recognition → Activation → Membrane attack complex

c)

C) Membrane attack complex → Activation → Recognition

d)

D) Activation → Membrane attack complex → Recognition

25.

Match the following stages of the classical pathway with their key components:

a)

C1qrs

1.

Recognition Unit

b)

C4b2a3b

2.

Activation Unit

c)

C5b6789

3.

Membrane Attack Unit

26.

According to the diagram, which component is involved in the recognition stage of the classical pathway?

a)

C1qrs

b)

C4b2a

c)

C5b

d)

C3a

27.

The membrane attack complex is formed by the combination of C5b, C6, C7, C8, and C9.

a)

True

b)

False

28.

Antibodies ________ bound to antigen can initiate the classical pathway.

a)

IgG & IgM

b)

IgA & IgD

c)

IgG & IgD

d)

IgM & IgE

29.

C-reactive protein bound to ________ can initiate the classical pathway.

a)

ligand

b)

antibody

c)

enzyme

d)

membrane

30.

Fill in the blank: ________ (a type of bacteria without a cell wall) can initiate the classical pathway.

a)

Mycoplasmas

b)

Streptococcus

c)

Escherichia coli

d)

Bacillus

31.

Certain gram-negative ________ can initiate the classical pathway.

a)

bacteria

b)

viruses

c)

fungi

d)

protozoa

32.

Fill in the blank: Some ________ (single-celled eukaryotic organisms) can initiate the classical pathway.

a)

protozoa

b)

bacteria

c)

viruses

d)

fungi

33.

What is the first complement component to bind in the classical pathway?

a)

C1

b)

C2

c)

C3

d)

C4

34.

Which of the following are the three subunits of C1?

a)

C1a, C1b, C1c

b)

C1q, C1r, C1s

c)

C2a, C2b, C2c

d)

C3a, C3b, C3c

35.

Fill in the blank: At least two of the globular heads of _____ must be bound to antibody to initiate the classical pathway.

a)

C1q

b)

C3b

c)

Factor B

d)

Mannose-binding lectin

36.

Based on the diagram and information provided, what does C1q recognize in the initiation of the classical pathway by antibodies?

a)

The Fc region of two adjacent antibody molecules.

b)

The Fab region of a single antibody molecule.

c)

The antigen directly without antibody involvement.

d)

The variable region of the antibody.

37.

The zymogens Clr and Cls are converted into active enzymes as binding of ____ occurs.

a)

Clq

b)

C3b

c)

Factor B

d)

C5a

38.

When activated, Clr cleaves a thioester bond on ____, which activates it.

a)

Cls

b)

C3b

c)

Factor B

d)

C5

39.

C1s cleaves C4 to create ______ and cleaves C2 to create C2a. (Fill in the blank)

a)

C4b

b)

C4a

c)

C3b

d)

C1q

40.

In the diagram, which complex is labeled as C3 convertase?

a)

C4b2a

b)

C5b9

c)

C1qrs

d)

C3bBb

41.

C3b binds to ______ to form C5 convertase.

a)

C4b2a

b)

C1q

c)

Factor B

d)

Properdin

42.

C5 convertase splits C5 into ______ and C5b.

a)

C5a

b)

C3a

c)

C4a

d)

C2a

43.

C5b attaches to the cell membrane to initiate formation of the ______ (C5b6789).

a)

MAC (Membrane Attack Complex)

b)

RBC (Red Blood Cell)

c)

MHC (Major Histocompatibility Complex)

d)

ABC (ATP-Binding Cassette)

44.

The Lectin Pathway is activated by ________ on microbial cell walls.

a)

carbohydrates

b)

lipids

c)

proteins

d)

nucleic acids

45.

Which of the following is NOT a class of recognition molecule involved in the Lectin Pathway?

a)

Lectins

b)

Ficolins

c)

CL-L1

d)

Immunoglobulins

46.

Mannan-binding lectin (MBL) is classified as ________.

a)

an acute-phase protein

b)

a steroid hormone

c)

a structural protein

d)

a digestive enzyme

47.

Mannan-binding lectin (MBL) binds to ________ or related sugars on microbes to initiate the pathway.

a)

mannose

b)

glucose

c)

fructose

d)

galactose

48.

Which MBL-associated serine proteases does the complex associate with?

a)

MASP-1, MASP-2, MASP-3

b)

C1r, C1s, C1q

c)

Factor B, Factor D, Properdin

d)

Trypsin, Chymotrypsin, Elastase

49.

The complex in the lectin pathway acts like which component?

a)

C1qrs

b)

C3b

c)

Factor B

d)

Properdin

50.

Which MASP cleaves C4 and C2 in the lectin pathway?

a)

MASP-1

b)

MASP-2

c)

MASP-3

d)

C1qrs

51.

The remaining steps of the lectin pathway are identical to which pathway?

a)

The classical pathway

b)

The alternative pathway

c)

The coagulation pathway

d)

The kinin pathway

52.

The Alternative Pathway acts mainly as an ________ loop for classical or lectin pathways.

a)

amplification

b)

inhibition

c)

termination

d)

suppression

53.

Which of the following can activate the Alternative Pathway directly?

a)

Bacterial or fungal cell walls

b)

Viruses

c)

Tumor cells

d)

Some parasites

e)

All of the above

54.

The Alternative Pathway involves which of the following components?

a)

C3, C5 – C9, Factors B, D, and P

b)

Only C3 and C5

c)

Only Factors B and D

d)

None of the above

55.

Step 1 of the Alternative Pathway: What is produced when C3 is hydrolyzed by water, and what does it bind to?

a)

C3a, binds to Factor D

b)

C3b, binds to Factor B

c)

C5a, binds to Factor P

d)

C3b, binds to Factor D

56.

Step 2 of the Alternative Pathway: Which enzyme is formed when Bb combines with C3b?

a)

C3bBb

b)

C3aBb

c)

C5bBb

d)

C3bP

57.

Step 3 of the Alternative Pathway: What stabilizes the enzyme C3bBb, allowing it to continue cleaving additional C3?

a)

Factor D

b)

Properdin

c)

Ba

d)

C5

58.

If a molecule of C3 remains attached to the C3bBbP enzyme, what capability does the convertase now have?

a)

The convertase now has the capability to cleave C5.

b)

The convertase now has the capability to bind antibodies.

c)

The convertase now has the capability to synthesize ATP.

d)

The convertase now has the capability to transport ions across the membrane.

59.

Match the following immune system components:

a)

The most abundant immune cell in the body

1.

Neutrophil

b)

The large size allows this cell to phagocytose clumps of bacteria or even host cells

2.

Macrophage

c)

Primarily involved in fighting parasites

3.

Granulocytes

d)

Overall function is lysing infected host cells

4.

Cytotoxic T cells

e)

Overall function is regulating other immune cells

5.

Helper T cells